Dr. Suhas Tuli, owner of Tuli Eye Care Center, opposes the proposed 50% payment reduction for E/M visits billed with modifier 25 on the same day as global procedures. He argues that the proposal double-counts overlap, creates inefficient patient care by penalizing same-day procedures, and fails to account for fixed supply costs.

A healthcare employee at Ada West Dermatology supports the proposed Medicare policy's preservation of payment for separately identifiable evaluation and management services performed on the same day as a procedure. They argue that allowing these services in a single visit is crucial for timely patient care, particularly for rural and elderly populations.

Meredith F. Hirsh, CEO of The Hirsh Center for Arthritis and Sports Medicine, opposes the proposed Medicare Physician Fee Schedule for 2027. The commenter argues that the proposed reductions in physician reimbursement and the payment structure for multiple services during a single encounter will create financial burdens for practices and reduce patient access to comprehensive care.

An ENT physician in rural Iowa opposes the proposed CMS 2027 fee schedule reduction for modifier 25. The commenter argues that the reduction will negatively impact patient care, particularly in rural areas, and may force remaining specialists to retire early.

A healthcare employee at Ad West Dermatology supports the preservation of appropriate payment for performing evaluations and procedures during the same visit. They argue that requiring separate appointments creates unnecessary burdens for patients, particularly those in rural areas or with mobility issues.

A healthcare employee at Ada West Dermatology supports the preservation of appropriate payment for evaluation and management services performed on the same day as a medically necessary procedure. They argue that allowing these services in a single visit improves patient access to timely care, particularly for rural and elderly populations.

A healthcare employee in Idaho supports the proposed Medicare policy's goal of addressing billing but argues that CMS should preserve payment for separately identifiable evaluation and management services performed on the same day as a procedure. The commenter emphasizes that allowing these services in a single visit is crucial for providing timely care to rural and elderly patients.

Dr. Stephen Fritz, President of Portland Allergy and Asthma, supports the proposed rule's recognition of the need to update the definition of a "dose" for CPT code 95165. He urges CMS to adopt the CPT definition (a single injection from a multidose vial) and to eliminate or significantly increase the Medically Unlikely Edits (MUE) cap to ensure patients receive appropriate, individualized immunotherapy.

Dr. Wirt Hines, a physician, opposes the proposed policy to reduce reimbursement for separately identifiable E/M services and procedures performed on the same day. The commenter argues that the policy will create financial incentives to separate these services, leading to increased patient travel burdens, higher administrative costs, and potential increases in overall Medicare spending.